e When there is insufficient
evidence to recommend care, it is important to
develop local guidance and protocols to ensure
consistent and safe practice. Within the authors’
organisation, a protocol has been agreed, which
advises on the type of cleansing solution and
frequency of cleaning regimen to be used for all
patients who require pin site care within the
trust. This protocol was devised following a
review of the available evidence and consultation
with orthopaedic surgeons. The protocol was
subject to a ratification process, which included
review by the trust’s standards, guidelines and
protocols group and final ratification by the
orthopaedic directorate clinical governance
group. As with all standards, guidelines and
protocols within the trust, the guideline is subject
to an internal ratification process on a two-yearly
basis, allowing for new evidence to be
incorporated. It is important the nurse continues
to be up-to-date with new developments, reach
consensus with colleagues about best practice
and ensure consistency in treatment